COVID-19 Tanısı Almış Hastalara Bakım Veren Hemşirelerde Akran Desteği Yöntemi ile Uygulanan Mesleki ve MBSR Akran Desteği Programının Kaygı, Tükenmişlik ve Bilinçli Farkındalık Üzerine Etkisi: Bir Karma Yöntem Araştırması

Yıl 2025, Cilt: 8 Sayı: 1, 25 - 38

Özge Öner , Yurdanur Dikmen , Handenur Gündoğdu , Fatma Tanrıkulu , Funda Erol

https://doi.org/10.38108/ouhcd.1277151

Öz

Amaç: Bu araştırmada, pandemi sürecinde çalışan hemşirelere akran desteği yöntemi ile uygulanan mesleki ve MBSR Akran Desteği Programının yaşanan kaygı, tükenmişlik ve bilinçli farkındalık üzerine etkisini incelemek amaçlanmıştır.
Yöntem: Açımlayıcı Sıralı Karma Desende yürütülen araştırmanın evrenini bir hastanede çalışan 580 hemşire, nicel aşamasının örneklemini 195 hemşire, nitel aşamasının örneklemini ise akran desteği veren 15 hemşire ve akran desteği alan 49 hemşire oluşturmuştur. Veriler niceliksel ve niteliksel yöntemlerle toplanmıştır.
Bulgular: Akran desteği alan hemşirelerin durumluk kaygı, sürekli kaygı ve tükenmişlik son test puan ortalamalarının ön test puan ortalamalarına göre istatistiksel olarak anlamlı derecede düştüğü görülürken, bilinçli farkındalık son test puanının arttığı görülmüştür (p<0,005). Nitel analizler sonucunda üç ana tema ve altı alt tema belirlenmiştir.
Sonuç: Pandemi sürecinde görev yapan hemşirelere uygulanan MBSR Akran Desteği Programının hemşirelerin yaşadığı kaygı ve tükenmişlik düzeylerini azaltırken, bilinçli farkındalık düzeyini arttırdığı sonucuna varılmıştır.

Anahtar Kelimeler

Covid-19, akran desteği, MBSR, tükenmişlik, kaygı, mesleki güçlendirme

Destekleyen Kurum

Bu araştırma için Sakarya Uygulamalı Bilimler Üniversitesi Bilimsel Araştırma Projeleri Koordinatörlüğünden finansal destek alınmıştır.

Proje Numarası

034-2021

Teşekkür

Çalışmaya gönüllü olarak katılan tüm hemşirelere çok teşekkür ederiz.

The Effect of Vocational and MBSR Peer Support Programme Applied with Peer Support Method on Anxiety, Burnout and Mindfulness in Nurses Caring for Patients Diagnosed with COVID-19: A Mixed Method Research

Öz

Objective: This study aimed to examine the effect of the professional and MBSR Peer Support Programme applied to nurses working during the pandemic process peer support method on anxiety, burnout and mindfulness.
Methods: The population of the study, which was conducted in Exploratory Sequential Mixed Design, consisted of 580 nurses working in a hospital; the sample of the quantitative phase consisted of 195 nurses, and the sample of the qualitative phase consisted of 15 nurses providing peer support and 49 nurses receiving peer support. Data were collected using quantitative and qualitative methods.
Results: The post-test mean scores of state anxiety, trait anxiety and burnout of the nurses receiving peer support decreased statistically significantly compared to the pre-test mean scores. In contrast, the post-test score of mindfulness increased (p<0.005). As a result of qualitative analyses, three main themes and six sub-themes were determined.
Conclusion: It was concluded that the MBSR Peer Support Programme applied to nurses working during the pandemic decreased the anxiety and burnout levels nurses experienced and increased mindfulness.

Anahtar Kelimeler

Covid-19, peer support, MBSR, burnout, anxiety, professional empowerment

Proje Numarası

034-2021

Kaynakça

• Kaynaklar Aksoy YE, Koçak V. (2020). Psychological effects of nurses and midwives due to COVID-19 outbreak: The case of Turkey. Archives of Psychiatric Nursing, 34(5), 427–433. https://doi.org/10.1016/j.apnu.2020.07.011
• Atac M, Kaplan A. (2021). Psychological effect of the COVID-19 pandemic on nurses and protection of mental health. Journal of Education and Research in Nursing, 18(Supp1), 54-59. https://doi.org/10.5152/jern.2021.58855
• Atli Özbaş A, Tel H. (2016). The effect of a psychological empowerment program based on psychodrama on empowerment perception and burnout levels in oncology nurses: Psychological empowerment in oncology nurses. Palliative and Supportive Care, 14(4), 393–401. https://doi.org/10.1017/S14789515 15001121
• Catton H. (2020). Global challenges in health and health care for nurses and midwives everywhere. International Nursing Review, 67(1), 4-6. https://doi.org/10.1111/inr.12578
• Catak PD. (2012). The Turkish version of mindful attention awareness scale: Preliminary findings. Mindfulness, 3(1), 1–9. https://doi.org/10.1007/s12671-011-0072-3
• Creswell, JW. (2013). Nitel, Nicel ve Karma Yöntem Yaklaşımları Araştırma Deseni. Çeviri Ed., Selçuk Beşir Demir, Ankara, Eğiten Kitap Yayınları.
• Çoşkun S, Arslan S. (2021). Hemşirelik öğrencilerinin liderlik yönelimleri ile öğrenme biçimleri arasındaki ilişki. Sağlık ve Hemşirelik Yönetimi Dergisi, 8(2), 160–170. https://doi.org/10.5222/shyd.2021.48378
• Dökmen, Ü. (1990). Yeni bir empati modeli ve empatik becerinin iki farklı yaklaşımla ölçülmesi. Psikoloji Dergisi, 7, 42-50.
• Dünya Sağlık Örgütü (World Health Orgazination-WHO). (2020). Coronavirus Disease (Covid-19) Outbreak: Rights, Roles and Responsibilities of Health Workers, İncluding Key Considerations For Occupational Safety and Health. World Health Organization. Erişim tarihi: 26.05.2022. https://www.who.int/docs/default-source/ coronaviruse/who-rights-roles-respon-hw-covid-19.pdf?sfvrsn=bcabd401_0
• Ergin C. (1992). Doktor ve Hemşirelerde Tükenmişlik ve Maslach Tükenmişlik Ölçeğin Uyarlanması. VII. Ulusal Psikoloji Kongresi Bilimsel Çalışmaları El Kitabı, s. 143–154.
• Freeman RC, Sukuan N, Tota NM, Bell SM, Harris AG, Wang HL. (2020). Promoting spiritual healing by stress reduction through meditation for employees at a veterans hospital: a cdc framework–based program evaluation. Workplace Health and Safety, 68(4), 161–170. https://doi.org/10.1177/2165079919874795
• Ghawadra SF, Abdullah KL, Choo WY, Phang CK. (2019). Mindfulness-based stress reduction for psychological distress among nurses: A systematic review. In Journal of Clinical Nursing, 28 (21–22), 3747–3758. https://doi.org/10.1111/jocn.14987
• Günüşen Partlak N. (2017). Hemşirelerin ruh sağlığının korunması ve güçlendirilmesi. Türkiye Klinikleri Psychiatric Nursing - Special Topics, 3(1), 12–18.
• Han J, Zhang L, Liu Y, Zhang Y, Bi L. (2022). Effect of a group-based acceptance and commitment therapy programme on the mental health of clinical nurses during the COVID-19 sporadic outbreak period. Journal of Nursing Management, 30(7), 3005–3012. https://doi.org/10.1111/jonm.13696
• Ergin C. (1992). Doktor ve Hemşirelerde Tükenmişlik ve Maslach Tükenmişlik Ölçeğin Uyarlanması. VII. Ulusal Psikoloji Kongresi Bilimsel Çalışmaları El Kitabı, s. 143–154.
• Freeman RC, Sukuan N, Tota NM, Bell SM, Harris AG, Wang HL. (2020). Promoting spiritual healing by stress reduction through meditation for employees at a veterans hospital: a cdc framework–based program evaluation. Workplace Health and Safety, 68(4), 161–170. https://doi.org/10.1177/2165079919874795
• Ghawadra SF, Abdullah KL, Choo WY, Phang CK. (2019). Mindfulness-based stress reduction for psychological distress among nurses: A systematic review. In Journal of Clinical Nursing, 28 (21–22), 3747–3758. https://doi.org/10.1111/jocn.14987
• Günüşen Partlak N. (2017). Hemşirelerin ruh sağlığının korunması ve güçlendirilmesi. Türkiye Klinikleri Psychiatric Nursing - Special Topics, 3(1), 12–18.
• Han J, Zhang L, Liu Y, Zhang Y, Bi L. (2022). Effect of a group-based acceptance and commitment therapy programme on the mental health of clinical nurses during the COVID-19 sporadic outbreak period. Journal of Nursing Management, 30(7), 3005–3012. https://doi.org/10.1111/jonm.13696
• Hu D, Hu D, Kong Y, Li W, Han Q, Zhang X, et al. (2020). Frontline nurses’ burnout, anxiety, depression, and fear statuses and their associated factors during the COVID-19 outbreak in Wuhan, China: A large-scale cross-sectional study. EClinicalMedicine, 24, 100424. https://doi.org/https://dx.doi.org/10.2139/ssrn.3566144
• Hui DSI, Azhar E, Madani TA, Ntoumi F, Kock R, Dar O, et al. (2020). The continuing 2019-nCoV epidemic threat of novel coronaviruses to global health — The latest 2019 novel coronavirus outbreak in Wuhan, China. International Journal of Infectious Diseases, 264–266. https://doi.org/10.1016/j.ijid.2020.01.009
• Ibrahim K, Komariah M, Herliani YK. (2022). The Effect of mindfulness breathing meditation on psychological well-being: a quasi-experimental study among nurses working for COVID-19 patients. Holistic Nursing Practice, 36(1), 46–51. https://doi.org/10.1097/HNP.0000000000000464
• Kharma M, Amer M, Tarakji B, Aws G, Alalwani M. (2015). Assessment of the awareness level of dental students toward Middle East Respiratory Syndrome-coronavirus. Journal of International Society of Preventive and Community Dentistry, 5(3), 163. https://doi.org/10.4103/2231-0762.159951
• Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. (2020). Factors associated with mental health outcomes among healthcare workers exposed to coronavirus disease 2019. The Journal of the American Medical Association (JAMA) Network Open, 3(3), 1–12. https://doi.org/10.1001/jamanetworkopen.2020.3976
• Mo Y, Deng L, Zhang L, Lang Q, Liao C, Bm NW, et al. (2020). Work stress among Chinese nurses to support Wuhan in fighting against COVID-19 epidemic. Journal of Nursing Management, March, 1002–1009. https://doi.org/10.1111/jonm.13014
• Nemati M, Ebrahimi B, Nemati F. (2020). Assessment of Iranian nurses’ knowledge and anxiety toward covıd-19 during the current outbreak in Iran. Archives of Clinical Infectious Diseases, 15(COVID-19), e102848. https://doi.org/10.5812/archcid.102848. Research
• Nguyen MC, Gabbe SG, Kemper KJ, Mahan JD, Cheavens JS, Moffatt-bruce SD. ve ark. (2020). Training on mind-body skills: Feasibility and effects on physician mindfulness, compassion, and associated effects on stress, burnout, and clinical outcomes. The Journal of Positive Psychology, 15(2), 194–207. https://doi.org/10.1080/17439760.2019. 1578892
• Nickell LA, Crighton EJ, Tracy CS, Al-Enazy H, Bolaji Y, Hanjrah S, et al. (2004). Psychosocial effects of SARS on hospital staff: Survey of a large tertiary care institution. Canadian Medical Association Journal, 170(5), 793–798. https://doi.org/10.1503/cmaj. 1031077
• Öner N, Le Compte A. (1983). Süreksiz Durumluk/Sürekli Kaygı Envanteri El Kitabı, 1. Baskı, Boğaziçi Üniversitesi Yayınları, 1-26.
• Peterson U, Bergström G, Samuelsson M, Åsberg M, Nygren Å. (2008). Reflecting peer-support groups in the prevention of stress and burnout: Randomized controlled trial. Journal of Advanced Nursing, 63(5), 506–516. https://doi.org/10.1111/j.1365-2648.2008 .04743.x
• Poon E, Liu KS, Cheong DL, Lee CK, Yam LYC, Tang WN. (2004). Impact of severe acute respiratory syndrome on anxiety levels of frontline health care workers. Hong Kong Medical Journal, 10 (5), 325–330.
• Renke C, Callow L, Egnor T, Honstain C, Kellogg K, Pollack B, et al.(2020). Utilization of pediatric nurse practitioners as adult critical care providers during the COVID-19 pandemic: a novel approach. Journal of Pediatric Health Care, 34(5), 490–494. https://doi.org/10.1016/j.pedhc.2020.06.005
• Shanafelt T, Ripp J, Trockel M. (2020). Understanding and Addressing Sources of Anxiety Among Health Care Professionals During the COVID-19 Pandemic. The Journal of the American Medical Association (JAMA), 323(21), 2133–2134. https://doi.org/10. 1001/jama.2020.5893
• Sulosaari V, Unal E, Ilknur F. (2022). The effectiveness of mindfulness-based interventions on the psychological well-being of nurses: A systematic review. Applied Nursing Research, 64(October 2021), 151565. https://doi.org/10.1016/j.apnr.2022. 151565
• Tekindal, M. & Uğuz Arsu, Ş. (2020). Nitel araştırma yöntemi olarak fenomenoloji yaklaşımın kapsamı ve sürecine yönelik bir derleme. Ufkun Ötesi Bilim Dergisi, 20 (1), 153-182.
• Urso C, Laserna A, Feng L, Agnite A, Jawe N, Magoun C. et al. (2022). Mindfulness as an antidote to burnout for nursing and support staff in an oncological intensive care unit: a pilot study. Holistic Nursing Practice, 36(5), E38–E47. https://doi.org/10.1097/ HNP.0000000000000544
• Utlu N, Demirbaş E, Kizilirmak H. (2016). Hemşirelerde etik ikilem kaynaklı stres oluşumu ve baş etme yöntemleri. Anadolu Bil Meslek Yüksekokulu Dergisi, 44, 1–24.
• Ünver V, Akbayrak N. (2013). Hemşirelik eğitiminde akran eğitim modeli. Dokuz Eylül Üniversitesi Hemşirelik Yüksekokulu Elektronik Dergisi, 6, 214–217.
• Wexler TM, Schellinger J. (2022). Mindfulness-based stress reduction for nurses: An integrative review. Journal of Holistic Nursing, 40–59. https://doi.org/10.1177/08980101221079472
• Zaenal M, Setyaningsih Y, Lestantyo D, Ba MS. (2022). A quasi-experimental study of psychotherapy in reducing anxiety among nurses working in COVID-19 wards. Journal of Holistic Nursing Science, 9(1), 27–31. https://doi.org/10.31603/nursing.v9i1.6883